Pharmacy Technician Training Manual

Pharmacy Technician Training Manual free pdf ebook was written by Administrator on December 02, 2005 consist of 39 page(s). The pdf file is provided by opha.phase2online.com and available on pdfpedia since April 07, 2012.

IntroductionIn May of 1993 the Oklahoma State Board ofPharmacy asked the Oklahoma PharmaceuticalAssociation (OPhA) to develop a Pharmacy TechnicianTraining Manual.The purpose of the fourth edition of this manualis to provide pharmacies and pharmacists in the statea training manual of pharmacy material that has beenapproved by the Oklahoma State Board of Pharmacy.Due to increased quantity of prescriptions inrecent years, there has been an increased demand forpharmacy staff. The increased use of pharmacytechnicians should increase efficiency and quality ofpharmaceutical care. However, the pharmacist mustlive up to the full potential of his or her professionalroles and responsibilities. “Tech” will be the term usedfor pharmacy technician in the manual.4

Pharmacy TechnicianCertification BoardAlthough not required for licensure, sometechnicians may choose to get certified. Someemployers either require certification or may offerincentives for certification. The Pharmacy TechnicianCertification Board (PTCB) offers a nationalexamination that once passed confers the CertifiedPharmacy Technician (CPhT) credentials. Thiscertification increases credibility and adds a level ofgreater emphasis, responsibility and benefits. ThePTCB offers the exam three times a year at nearly 120sites across the nation. For more information, seehttp://www.ptcb.org.Numerous websites offer additional trainingmaterials for the examination. A list of links to thevarious training websites as well as pharmacytechnician associations is located at http://www.ptcb.org /About/links.aspx.5

OKLAHOMA STATEBOARD OF PHARMACY:PHARMACY TECHNICIANTRAINING GUIDELINESAll pharmacy technicians must have satisfactorilycompleted an initial Pharmacy Technician Training Program,Phase 1,prior to receiving a Pharmacy Technician Permit.After receiving the permit, they may begin on-the-job training(OTJ),Phase 2,in the prescription department.This program must be taught in each pharmacyemploying pharmacy technicians. The development orimplementation of a program is the responsibility of thepharmacist manager, who may be requested to submit theinstructional text of the training program to the State Board ofPharmacy for approval.The pharmacist manager, or another pharmacist in thepharmacy whom he or she may designate, shall conduct thetraining and attest to its successful completion. Proof of thistraining and subsequent training, must be maintained in thepharmacy and available for inspection.The Oklahoma State Board of Pharmacy has set thesePharmacy Technician Training Guidelines as minimumstandards for training of pharmacy technicians.The training program may be adjusted to meet thespecific needs of an individual, but the adjusted program mustconform to the minimum standards in these guidelines.6

(Initial Training)I.Orientationa. Tour of Pharmacyi. Location of Medicationsii. Prescription Filesiii. Information Sourcesiv. Insurance Informationv. Other areas deemed appropriateb. Organization Chart (chain of command)i. Describe your store’s organizational chart. The pharmacist isalways responsible for the tasks the technician completes.c. Policy and Procedures Manual (if one exists)i. The development of a policy and procedure manual is highlyrecommended.d. Confidentiality of Patient Informationi. See Appendix 1e. Health Insurance Portability and Accountability Act of 1996. (HIPAA)i. See Appendix 2f. Patient Information Literaturei. There are several prescription medications that require patientpackage inserts when a prescription is dispensed. Examples arePremarin, birth control pills, etc. Other useful information to helpinstruct a patient is also available. The tech should be able to helpthe pharmacist in maintaining these sources of information.g. Reference Sourcesi. The tech should know:1. Where the reference books are located in the pharmacy2. Legal requirements pertaining to keeping an updatedpharmacy library. (See Rules and Regulations section ofcurrent Law Book)h. Name Tagsi. The public should be able to distinguish the pharmacist from anysupport personnel in the pharmacy. All support personnel must bedistinctly identifiable from a practicing pharmacist. Name and jobtitle should identify “Tech” from other support personnel.i. Dress Codei. Each pharmacy should determine the dress code.Job Descriptionsa. Role of Pharmacisti. The pharmacist is responsible for all judgmental tasks involved indispensing a prescription and for maintaining good pharmaceuticalcare.Phase 1II.7

ii. The pharmacist is responsible for all counseling and shall notdelegate this task to anyone. An intern is allowed to counsel ifdeemed appropriate by the pharmacist.iii. The pharmacist may delegate non-judgmental tasks to be done, butthe responsibility, both legally and professionally, stays with thepharmacist.iv. The pharmacist’s duties are a provision of those acts or servicesthat are necessary to provide pharmaceutical care.b. Role of Support Personneli. The supportive personnel may perform tasks other than those of apharmacist or technician.c. Role of Pharmacy Techniciansi. May perform any duties supportive personnel are allowed toperformii. Count and/or pour medicationsiii. Prepackage and properly label medications (i.e. unit dose)iv. Affix auxiliary labels to the container as directed by pharmacist.v. Affix the prescription label to proper containervi. Reconstitution of medication (i.e. liquid antibiotics)vii. Bulk compounding, including such items as non-sterile topicalcompounds, sterile irrigation solutions and products prepared inrelatively large volume for internal or external use.Documentation of a system of in-process and final checks andcontrols must be developed or approved by the certifyingpharmacist and carefully and systematically enforced.viii. May perform functions involving reconstitution of single doseunits of parenteral products that are to be administered to a givenpatient as a unit, and perform functions involving the addition ofone manufacturer’s prepared unit (whole or part) to anothermanufacturer’s prepared unit, if the unit is to be administered asone dose to a patient. The pharmacist must establish proceduresfor parenteral products and certify the ingredients, and label thefinished product.ix. May assist the pharmacist in the annual Controlled DangerousSubstance inventory. The pharmacist remains responsible forcompleteness and accuracy.x.See Appendix 3:Pharmacy Technician and Supportive PersonnelRulesd. Personal Attributesi. Self Confidence: Knowing when and whom to ask for help is partof self-confidence.ii. Knowledge: Using the training given, the tech may help thepharmacist in knowing a patient and remembering what hasoccurred in the past regarding the patient.8

III.IV.iii. Sincerity: The combination of honesty, common sense anddiplomacy may be characterized as sincerity. Show concern forthe patient.iv. Concern for others: A concern for others, coupled with empathy,open-mindedness and understanding of their opinions or situationis important. Try to look at their point of view. Are there otherhelpful options?v. Tact: Tact is an important aspect of verbal communication in anypharmacy.e. Pharmacy Technicians interrelationships with:i. Pharmacists: All tasks performed by the tech are the ultimateresponsibility of the pharmacist. The tech works under direct andimmediate supervision by the pharmacist, as stated in the StateBoard Rules. The tech should present any problems ordiscrepancies to the pharmacist.ii. Patients: The tech should be courteous and tactful when obtaininginformation. Refer all medication questions to the pharmacist.iii. Physicians: The tech should be courteous and identify themselves.Refer all medication questions to the pharmacist.iv. Nurses and/or medical office staff: Refer all medication questionsto the pharmacist.Communication Techniquesa. Telephone Etiquette and protocoli. Basic communication skills: Always communicate with a helpfulattitude.ii. Be an active listener.iii. Communication is a two way street.iv. Articulation: the use of precise words to describe a situation.v. Pleasant voice: speak slowly, distinctly, and pleasantly. The callercannot see facial expressions so the voice is all important.vi. Friendliness is one of the easiest and most effective tools of goodcommunication.vii. Listen attentively and patiently. Do not assume you know what isgoing to be said; wait for the person to finish before responding.Pharmacy Laws and Rulesa. Pharmacy Law – refer to Oklahoma Pharmacy Law Bookb. Pharmacy Rulesi. Transfer of prescriptions: only the pharmacist or intern is allowedto transfer a prescription.ii. Interns may perform all functions of a pharmacist, except the finalcheck of a prescription.iii. Telephone prescriptions: only a pharmacist or intern is allowed totake new prescriptions.iv. Pharmacy access: only a pharmacist shall be permitted to unlockthe pharmacy area or any additional storage areas for dangerousdrugs, except in an extreme emergency.9

v. Refill authorization records: when an agent of a licensedpractitioner calls in a refill, the name of the person shall bedocumented.vi. Drug Expiration dating: all outdated prescription drugs shall beremoved from the active inventory area upon expiration and cannotbe used to fill prescriptions. The removal from the pharmacy ofthese expired drugs must occur within six months; either bydestruction or by being returned to the supplier.c. Drug Enforcement Administration (DEA)i. Identification of DEA drug labelsii. Ordering and Receiving of controlled dangerous drugsiii. Rationale of DEA drugsiv. Inventory and/or accountability: the Tech is allowed to help thepharmacist in the actual inventory which must be performedbetween May 1 and July 1.v. Storage of controlled substances.vi. Filing Systems: Different types of filing are allowed. The techshould know which type of filing is being utilized in the pharmacy.vii. Exempt Narcotic Sales: The pharmacist is required to handle thesale of all exempt narcotics.viii. Formula for calculating and confirming DEA number: Add thefirst, third, and fifth digits of the DEA number. Then add thesecond, fourth, and sixth digits; and multiply this sum by 2. Addthe two numbers. The last digit of this sum will be the same as thelast digit of the DEA number.1. EXAMPLE: DEA # 1234563a. 1+3+5 = 9, 2x(2+4+6) = 24 TOTAL = 33ix. OSTAR: Requirements and working of the CII narcotic trackingsystem.x. Regulation of mailing prescriptions: Through US Postal Service,UPS, FedEx, etc.xi. Requirements relating to prescriptions transmitted by physicianassistants.xii. Prescribing limitations of optometrist, podiatrist, dentist,veterinarian, etc.xiii. Record keeping for all control dangerous drug prescriptions:Length of time prescriptions are valid depends on Schedule ofDangerous Drugs.xiv. Transfer prescriptions:1. Schedule II – may not be transferred2. Schedule III-V – may be transferred ONE time only.However, pharmacies electronically sharing a real-time,online database may transfer up to the maximum refillspermitted by law and the prescriber’s authorization.xv. Classification of Drugs:1. Schedule I10

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